<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en">
<head>
    <meta http-equiv="Content-Type" content="text/html;charset=UTF-8">
    <script type="text/javascript" src="../../js/Date_tz.js"></script>
    <script defer="defer" type="text/javascript" src="../../js/myjs.js"></script> 
    <link rel="stylesheet" href="../../css/style.css" />
    <link rel="stylesheet" href="../../css/per.css" />
</head>
<body>
    <form action=""  class="personal_student_form" onsubmit="return checkContact()">
    <div><span>长号：</span><input type="text" name="" id="normalTel" /></div>
    <div><span>短号：</span><input type="text" name="" id="simpleTel" /></div>
    <div><span>&nbsp;Q&nbsp;Q：</span><input type="text" name="" /></div>
    <div><span>邮箱：</span><input type="text" name="" /></div>
    <div><span>宿舍：</span>
        <select id="">
            <option value="0">请选择</option>
            <option value="1">泰山区</option>
            <option value="2">华山区</option>
            <option value="3">启林南</option>
            <option value="4">启林北</option>
            <option value="5">六一区</option>
        </select>&nbsp;&nbsp;
        <input type="text" name=""  placeholder="例如:7-208" style="width:100px;" />
    </div>
    <div><span></span><input type="submit" value="保存" class="personal_submit"></div>

    
    </form>
</body>
</html>